Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.44 / $5,355.00 / $10,817.74	Facility		$888.44	$5,355.00	$10,817.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $548.16 / $703.54 / $870.77	Facility		$548.16	$703.54	$870.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $698.21 / $698.21 / $698.21	Facility		$698.21	$698.21	$698.21
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $69.23 / $69.23 / $69.23	Facility	AS	$69.23	$69.23	$69.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $2,869.00 / $5,457.00	Facility		$1,771.00	$2,869.00	$5,457.00